Active NPI
Alicyn Marie Boehmer, D.C.
- Chiropractor
- Columbia, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2005003663
- Practice address
- 1608 Chapel Hill Rd Ste D
Columbia, MO 65203-5464 - Phone
- (573) 445-4000
- Fax
- (573) 447-3336
- NPI assigned
- Jan 13, 2007
- Last updated
- Jun 25, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2005003663 | MO | Primary |
Addresses
Primary practice location
1608 Chapel Hill Rd Ste D
Columbia, MO 65203-5464
Mailing address
2216 Forum Blvd
Ste 102
Columbia, MO 65203-5409
Phone (573) 445-4000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 198295 | Other | MO | BLUE CROSS BLUE SHIELD |
| 671564 | Other | MO | UNITED HEALTH CARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2004
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2216 Forum Blvd
Suite 102
Columbia, MO 65203-5409
Phone (573) 445-4000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boehmer Chiropractic and Acupuncture PC | Chiropractor | Current | Accepting new patients |
Locations
1608 Chapel Hill Rd
Ste D
Columbia, MO 65203
Phone (573) 445-4000
2216 Forum Blvd
Ste 102
Columbia, MO 65203
Phone (573) 445-4000
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Columbia, MO
- NPI 1881875334
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561420800000",
"number": "1851442339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2216 FORUM BLVD",
"address_2": "STE 102",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652035409",
"telephone_number": "573-445-4000",
"fax_number": "573-447-3336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1608 CHAPEL HILL RD STE D",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652035464",
"telephone_number": "573-445-4000",
"fax_number": "573-447-3336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOEHMER",
"first_name": "ALICYN",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-13",
"last_updated": "2019-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2005003663",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "198295",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "671564",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.